PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| <h6 style="background-color:powderblue;border-left: 6px solid gray;">The clinician will rate the time period covering the previous week. If a patient has not been exposed to the feared situation in the past week,the clinician should rate the fear, avoidance and physiological symptoms according to how the patient would feel now if faced with each situation</h6> | bsps_instruction | N | descriptive | - | - | - | |
| 1. Speaking in public or in front of others | bsps_1a | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 2. Talking to people in authority | bsps_1b | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 3. Talking to strangers | bsps_1c | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 4. Being embarrassed or humiliated | bsps_1d | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 5. Being crtiticized | bsps_1e | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 6. Social gatherings | bsps_1f | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| 7. Doing something while being watched (this does not include speaking) | bsps_1g | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Speaking in public or in front of others | bsps_2a | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Talking to people in authority | bsps_2b | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Talking to strangers | bsps_2c | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Being embarrassed or humiliated | bsps_2d | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Being criticized | bsps_2e | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Social gatherings | bsps_2f | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Doing something while being watched (this does not include speaking) | bsps_2g | N | radio | 0, 0 - Never (0%) | 1, 1 - Rare (1 - 33%) | 2, 2 - Sometimes (34 - 66%) | 3, 3 - Frequent (67 - 99%) | 4, 4 - Always (100%) | - | - | |
| Blushing | bsps_3a | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Palpitation | bsps_3b | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Trembling or shaking | bsps_3c | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Sweating | bsps_3d | N | radio | 0, 0 - None | 1, 1 - Mild, Infrequent and/or not distressing | 2, 2 - Moderate, Frequent and/or distress | 3, 3 - Severe, Constant/ dominating a person's life or clearly distressing | 4, 4 - Extreme, Incapacitating or extremely distressful | - | - | |
| Note | bsps_note | Y | notes | - | - | - | |
| Fear Score | bsps_fear | N | calc | sum([bsps_1a],[bsps_1b],[bsps_1c],[bsps_1d],[bsps_1e],[bsps_1f],[bsps_1g]) | Based on the questions that were answered | - | |
| Fear: Count of questions that were unanswered | bsps_fear_missing | N | calc | if([bsps_1a]="",1,0)+ if([bsps_1b]="",1,0)+ if([bsps_1c]="",1,0)+ if([bsps_1d]="",1,0)+ if([bsps_1e]="",1,0)+ if([bsps_1f]="",1,0)+ if([bsps_1g]="",1,0) | Based on the questions that were answered | - | |
| Avoidance Score | bsps_avoid | N | calc | sum([bsps_2a],[bsps_2b],[bsps_2c],[bsps_2d],[bsps_2e],[bsps_2f],[bsps_2g]) | Based on the questions that were answered | - | |
| Avoidance: Count of questions that were unanswered | bsps_avoid_missing | N | calc | if([bsps_2a]="",1,0)+ if([bsps_2b]="",1,0)+ if([bsps_2c]="",1,0)+ if([bsps_2d]="",1,0)+ if([bsps_2e]="",1,0)+ if([bsps_2f]="",1,0)+ if([bsps_2g]="",1,0) | - | - | |
| Physiological Score | bsps_physiological | N | calc | sum([bsps_3a],[bsps_3b],[bsps_3c],[bsps_3d]) | Based on the questions that were answered | - | |
| Physiological: Count of questions that were unanswered | bsps_physiological_missing | N | calc | if([bsps_3a]="",1,0)+ if([bsps_3b]="",1,0)+ if([bsps_3c]="",1,0)+ if([bsps_3d]="",1,0) | - | - | |
| Total BSPS Score | bsps_total | N | calc | sum([bsps_1a],[bsps_1b],[bsps_1c],[bsps_1d],[bsps_1e],[bsps_1f],[bsps_1g],[bsps_2a],[bsps_2b],[bsps_2c],[bsps_2d],[bsps_2e],[bsps_2f],[bsps_2g],[bsps_3a],[bsps_3b],[bsps_3c],[bsps_3d]) | Based on the questions that were answered | - |